<template>
  <div style="padding: 12px 8px">


  <div class=WordSection1 style='layout-grid:15.6pt'>

    <p class=MsoNormal align=center style='text-align:center'><span
      style='font-size:16.0pt;font-family:仿宋_GB2312'>受理编号：<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></u></span></p>

<p class=MsoNormal align=center style='text-align:center'><span
style='font-size:22.0pt;font-family:方正小标宋_GBK'>广州市居民家庭经济状况核对申报表</span></p>

<p class=MsoNormal align=center style='text-align:center'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>（</span><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>20<u>&nbsp;&nbsp; </u></span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>年</span><u><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp; </span></u><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>月</span><u><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp; </span></u><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>日）</span></p>

<p class=MsoNormal align=center style='text-align:center'><span lang=EN-US
style='font-size:5.0pt;font-family:"Times New Roman"'>&nbsp;</span></p>

<p class=MsoListParagraph align=center style='margin-left:18.0pt;text-align:
center;text-indent:-18.0pt'><span lang=EN-US style='font-size:14.0pt;
font-family:仿宋_GB2312'>□<span style='font:7.0pt "Times New Roman"'>&nbsp; </span></span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>新申请</span><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
□ </span><span style='font-size:14.0pt;font-family:仿宋_GB2312'>复查</span></p>

<p class=MsoNormal align=center style='text-align:center'><span lang=EN-US
style='font-size:5.0pt;font-family:"Times New Roman"'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left'><u><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></u><span style='font-size:14.0pt;font-family:仿宋_GB2312'>区</span><span
lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>(</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>市</span><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>) <u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u></span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>街</span><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>(</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>镇</span><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>)<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</u></span><span style='font-size:14.0pt;font-family:仿宋_GB2312'>居</span><span
lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>(</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>村</span><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>)</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>委</span></p>

<p class=MsoNormal align=left style='text-align:left'><span style='font-size:
14.0pt;font-family:仿宋_GB2312'>申请人代表</span><span lang=EN-US style='font-size:
14.0pt;font-family:"Times New Roman"'>(</span><span style='font-size:14.0pt;
font-family:仿宋_GB2312'>户主</span><span lang=EN-US style='font-size:14.0pt;
font-family:"Times New Roman"'>)</span><span style='font-size:14.0pt;
font-family:仿宋_GB2312'>姓名</span><span lang=EN-US style='font-size:14.0pt;
font-family:"Times New Roman"'>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</u></span><span style='font-size:14.0pt;font-family:仿宋_GB2312'>住址</span><span
lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</u></span></p>

<p class=MsoNormal align=left style='text-align:left'><span style='font-size:
14.0pt;font-family:仿宋_GB2312'>身份证号码：</span><u><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></u></p>

<p class=MsoNormal align=left style='text-align:left'><span style='font-size:
14.0pt;font-family:仿宋_GB2312'>固定电话</span><span lang=EN-US style='font-size:
14.0pt;font-family:"Times New Roman"'>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u>&nbsp;</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>移动电话</span><span lang=EN-US
style='font-size:14.0pt;font-family:"Times New Roman"'>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</u></span></p>

<p class=MsoNormal align=left style='text-align:left'><u><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'><span style='text-decoration:
 none'>&nbsp;</span></span></u></p>

<div>

<table cellspacing=0 cellpadding=0 hspace=0 vspace=0 align=left>
 <tr>
  <td valign=top align=left style='padding-top:0cm;padding-right:9.0pt;
  padding-bottom:0cm;padding-left:9.0pt'>
  <p class=MsoNormal style='text-indent:35.0pt;line-height:15.0pt'><span
  style='font-size:14.0pt;font-family:仿宋_GB2312'>□最低生活保障</span><span
  lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='font-size:14.0pt;font-family:仿宋_GB2312'>□公共租赁住房</span></p>
  <p class=MsoNormal style='text-indent:315.0pt;line-height:15.0pt'><span
  style='font-family:仿宋_GB2312'>□</span><span style='font-family:仿宋_GB2312'>租赁补贴</span></p>
  <p class=MsoNormal style='text-indent:147.0pt;line-height:15.0pt'><span
  lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='font-family:仿宋_GB2312'>□</span><span style='font-family:
  仿宋_GB2312'>实物配租</span></p>
  </td>
 </tr>
</table>

</div>

<p class=MsoNormal align=left style='text-align:left;text-indent:28.0pt'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>申请社会救助事项类别</span><span
lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></p>

<div>

<table cellspacing=0 cellpadding=0 hspace=0 vspace=0 width=414 height=47
 align=left>
 <tr>
  <td valign=top align=left height=47 style='padding-top:0cm;padding-right:
  9.0pt;padding-bottom:0cm;padding-left:9.0pt'>
  <p class=MsoNormal style='text-indent:36.0pt;line-height:15.0pt'><span
  style='font-size:14.0pt;font-family:仿宋_GB2312'>□低收入困难家庭</span><span
  lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='font-size:14.0pt;font-family:仿宋_GB2312'>□法律援助</span></p>
  <p class=MsoNormal style='text-indent:35.0pt;line-height:15.0pt'><span
  lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;</span></p>
  </td>
 </tr>
</table>

</div>

<div>

<table cellspacing=0 cellpadding=0 hspace=0 vspace=0 align=left>
 <tr>
  <td valign=top align=left style='padding-top:0cm;padding-right:9.0pt;
  padding-bottom:0cm;padding-left:9.0pt'>
  <p class=MsoNormal style='text-indent:44.95pt;line-height:15.0pt'><span
  style='font-size:14.0pt;font-family:仿宋_GB2312'>□医疗救助</span><span lang=EN-US
  style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span><span style='font-size:14.0pt;font-family:仿宋_GB2312'>　□教育资助</span></p>
  <p class=MsoNormal style='text-indent:53.9pt;line-height:15.0pt'><span
  style='font-size:14.0pt;font-family:仿宋_GB2312'>□其他<u>　　　　　　　　　</u></span><u><span
  lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;
  </span></u><span lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p>
  </td>
 </tr>
</table>

</div>

<p class=MsoNormal align=left style='text-align:left;text-indent:35.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:35.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:35.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:"Times New Roman"'>&nbsp;</span></p>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:18.0pt;font-family:宋体'>广州市民政局印制</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:18.0pt;font-family:黑体'>２０１<span lang=EN-US>5</span>年<span
lang=EN-US>&nbsp; </span>月</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><span
style='text-fit:144.4pt'><b><span style='font-size:18.0pt;font-family:黑体;
letter-spacing:12.0pt'>填表说明</span></b></span></p>

<p class=MsoNormal style='text-indent:28.0pt;line-height:21.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal style='text-indent:28.0pt;line-height:24.0pt'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>一、本表是本市居民申请社会救助时，应向有关单位提交的本人及其家庭成员经济状况申报表。本表依据《广州市居民家庭经济状况核对办法》及相关规定制定。</span></p>

<p class=MsoNormal style='text-indent:27.45pt;line-height:24.0pt'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>二、本表需用蓝色或黑色钢笔、签字笔填写，要求字迹工整、不得随意涂改，需保持书面整洁。</span></p>

<p class=MsoNormal style='text-indent:27.45pt;line-height:24.0pt'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>三、申请人应当按照本说明相关要求真实填写，不得隐瞒、虚报、漏报。</span></p>

<p class=MsoNormal style='text-indent:27.45pt;line-height:24.0pt'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>四、受理编号由街（镇）核对工作人员根据核对信息系统自动生成的编号填写。</span></p>

<p class=MsoNormal style='text-indent:27.45pt;line-height:24.0pt'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>五、《承诺和授权书》、《申请人基本情况申报表》、《个人可支配收入申报表》、《个人货币类财产申报表》需由本人填写并签名确认。上述表格不足时，可另行复印。</span></p>

<p class=MsoNormal style='text-indent:27.45pt;line-height:24.0pt'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>六、《家庭可支配收入申报》、《家庭总财产申报》、《家庭实物类财产申报表》由</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>申请人代表<span lang=EN-US>(</span>户主<span
lang=EN-US>)</span></span><span style='font-size:14.0pt;font-family:仿宋_GB2312'>填写。</span></p>

<p class=MsoNormal style='text-indent:27.45pt;line-height:24.0pt'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>七、申请人如有工作单位的，应提供工作单位出具的收入证明；没有工作单位的，需按要求提交相应的收入证明。</span></p>

<p class=MsoNormal style='text-indent:27.45pt;line-height:24.0pt'><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>八、申请人拥有机动车辆、房产等财产需进行价格认证或价值评估的，需要另行填写相关表格进行申报。</span></p>

<p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;
</span></p>

<p class=MsoNormal align=left style='text-align:left'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal><b><span lang=EN-US style='font-size:22.0pt;font-family:
黑体'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:22.0pt;font-family:黑体'>承诺和授权书</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><b><span lang=EN-US
style='font-size:22.0pt;font-family:黑体'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><span
style='text-fit:96.3pt'><b><span style='font-size:16.0pt;font-family:黑体;
letter-spacing:12.0pt'>承诺书</span></b></span></p>

<p class=MsoNormal align=left style='text-align:left;line-height:24.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>本人在此郑重承诺<span lang=EN-US>:</span></span></p>

<p class=MsoNormal align=left style='text-align:left;line-height:24.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp; 1.</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>本人已阅读并完全了解《广州市居民家庭经济状况核对办法》及相关法律法规、规章、规范性文件的规定，自愿接受并将积极协助有关机构审核本人的家庭经济状况。</span></p>

<p class=MsoNormal style='line-height:24.0pt'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp; </span><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>2.</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>本人所填写的内容，所提供的证明材料合法、真实、有效，不存在隐瞒、虚报和漏报情况。</span></p>

<p class=MsoNormal style='line-height:24.0pt'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp; 3.</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>本人授权由申请人代表（户主）<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>填写本表中应当由“申请人代表（户主）”填写的内容，并同意其所填内容。</span></p>

<p class=MsoNormal style='line-height:24.0pt'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp; 4.</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>本人愿意对上述承诺承担全部的法律责任。</span></p>

<p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><b><span
lang=EN-US style='font-size:16.0pt;font-family:黑体'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center;line-height:150%'><span
style='text-fit:96.3pt'><b><span style='font-size:16.0pt;line-height:150%;
font-family:黑体;letter-spacing:12.0pt'>授权书</span></b></span></p>

<p class=MsoNormal align=left style='text-align:left;line-height:24.0pt'><b><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp; </span></b><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>本人授权广州市居民家庭经济状况核对机构及其派出的工作人员对本人所拥有的全部□</span><b><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>收入、</span></b><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>□</span><b><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>财产</span></b><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>进行核查；授权所有涉及到本人经济状况信息的部门或机构将相关信息及资料提供给上述机构和人员进行审核。</span></p>

<p class=MsoNormal style='margin-right:7.0pt;line-height:21.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style='font-size:14.0pt;font-family:仿宋_GB2312'>承诺和授权人签字<span
lang=EN-US>: <u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u>&nbsp;&nbsp;<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u></span></span></p>

<p class=MsoNormal align=center style='margin-right:7.0pt;text-align:center;
line-height:21.0pt'><span lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u>&nbsp;&nbsp;<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u></span></p>

<p class=MsoNormal align=center style='margin-right:7.0pt;text-align:center;
line-height:21.0pt'><span lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u>&nbsp;&nbsp;<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u></span></p>

<p class=MsoNormal align=center style='margin-right:7.0pt;text-align:center;
line-height:21.0pt'><span lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u>&nbsp;&nbsp;<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u></span></p>

<p class=MsoNormal align=center style='margin-right:7.0pt;text-align:center;
line-height:21.0pt'><span lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u>&nbsp;&nbsp;<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u></span></p>

<p class=MsoNormal style='margin-right:14.0pt;line-height:21.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>日<span lang=EN-US>&nbsp; </span>期<span
lang=EN-US>:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>年<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;
</span>月<span lang=EN-US>&nbsp;&nbsp;&nbsp; </span>日</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:27.75pt;
line-height:21.0pt'><span lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:27.75pt;
line-height:21.0pt'><span style='font-size:12.0pt;font-family:仿宋_GB2312'>本《承诺和授权书》已由申请人及其全部家庭成员当着经办人的面亲自签名（无民事行为能力人或限制民事行为能力人已由其监护人代为签名）。</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:27.75pt;
line-height:21.0pt'><span lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span
style='font-size:12.0pt;font-family:仿宋_GB2312'>经办人（签名）：</span><u><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></u></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:27.75pt;
line-height:21.0pt'><span lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span
lang=EN-US style='font-size:12.0pt;font-family:仿宋_GB2312'>20&nbsp;&nbsp; </span><span
style='font-size:12.0pt;font-family:仿宋_GB2312'>年 <span lang=EN-US>&nbsp;&nbsp;&nbsp;</span>月<span
lang=EN-US>&nbsp;&nbsp;&nbsp; </span>日</span></p>

<p class=MsoNormal align=left style='text-align:left;line-height:12.0pt'><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left;line-height:12.0pt'><span
style='font-family:仿宋_GB2312'>注<span lang=EN-US>:&nbsp; 1.</span>请在所有授权项目前“□”内划“√”，所有未授权项目请将“□”涂成“■。</span></p>

<p class=MsoNormal align=left style='text-align:left;line-height:12.0pt'><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp; 2.</span><span
style='font-family:仿宋_GB2312'>“经办人（签名）”由受理社会救助申请的工作人员进行填写。</span></p>

</div>

<span lang=EN-US style='font-size:10.5pt;font-family:仿宋_GB2312'><br clear=all
style='page-break-before:always'>
</span>

<div class=WordSection2 style='layout-grid:15.6pt'>

<p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><b><span
style='font-size:22.0pt;font-family:宋体'>申请人基本情况申报表</span></b></p>

<div align=center>

<p>

        <img src="../../../images/dataDownload/dataDownload1_2-1.jpg" style="width: 100%; height:auto"/></p>

</div>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:300%'><b><span style='font-size:22.0pt;line-height:300%;font-family:
宋体'>家庭可支配收入申报</span></b></p>

<p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><b><span
lang=EN-US style='font-size:18.0pt;font-family:仿宋_GB2312'>&nbsp;</span></b></p>

<p class=MsoNormal align=left style='text-align:left;line-height:24.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;
20<u>&nbsp;&nbsp;&nbsp; </u></span><span style='font-size:14.0pt;font-family:
仿宋_GB2312'>年<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span></u>月<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span></u>日至<span lang=EN-US>20<u>&nbsp;&nbsp;&nbsp;
</u></span>年<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span></u>月<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp; </span></u>日<span lang=EN-US>,</span>本家庭可支配收入总额为<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>元，家庭所有成员平均月可支配收入为<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>元。</span></p>

<p class=MsoNormal style='margin-right:28.0pt;text-indent:196.0pt;line-height:
24.0pt'><span style='font-size:14.0pt;font-family:仿宋_GB2312'>申请人代表<span
lang=EN-US>(</span>户主<span lang=EN-US>)</span>签名<span lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</u>&nbsp;</span></span></p>

<p class=MsoNormal align=right style='text-align:right;line-height:24.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp; </span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>日期<span lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</u></span>年<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span></u>月<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>日</span></p>

<p class=MsoNormal align=right style='text-align:right;line-height:24.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=right style='text-align:right;line-height:24.0pt'><b><span
lang=EN-US style='font-size:22.0pt;font-family:楷体_GB2312'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><b><span
style='font-size:16.0pt;font-family:宋体'>个人可支配收入申报表（一）</span></b></p>

<p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><b><span
lang=EN-US style='font-size:22.0pt;font-family:楷体_GB2312'>&nbsp;</span></b></p>

<div align=center>
<p>

        <img src="../../../images/dataDownload/dataDownload1_2-2.jpg" style="width: 100%; height:auto"/></p>

</div>

<p class=MsoNormal style='margin-right:-13.1pt;line-height:21.0pt'><b><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>申报人（签名）：<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>日期：<span
lang=EN-US>&nbsp;&nbsp;&nbsp; </span>年<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;
</span>月<span lang=EN-US>&nbsp;&nbsp;&nbsp; </span>日</span></b></p>

<p class=MsoNormal align=left style='text-align:left;line-height:16.0pt'><span
style='font-family:仿宋_GB2312'>注：<span lang=EN-US>1.</span>申报时间根据所申请的社会救助事项政策确定。</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:21.0pt;
line-height:16.0pt'><span lang=EN-US style='font-family:仿宋_GB2312'>2.</span><span
style='font-family:仿宋_GB2312'>工资性收入为扣除已缴纳的个人所得税以及社会保障支出后的工资（薪金）、津贴（补贴）、劳务所得。</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:21.0pt;
line-height:16.0pt'><span lang=EN-US style='font-family:仿宋_GB2312'>3. </span><span
style='font-family:仿宋_GB2312'>上述所有项目金额均以人民币为单位进行申报，拥有外币或以外币计算的收入的应当折算成人民币进行申报。</span></p>

<p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><b><span
lang=EN-US style='font-size:16.0pt;font-family:宋体'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><b><span
style='font-size:16.0pt;font-family:宋体'>个人可支配收入申报表（二）</span></b></p>

<div align=center>

<p>

        <img src="../../../images/dataDownload/dataDownload1_2-3.jpg" style="width: 100%; height:auto"/></p>

</div>

<p class=MsoNormal style='margin-right:-13.1pt;line-height:21.0pt'><b><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>申报人（签名）：<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>日期：<span lang=EN-US>&nbsp;&nbsp;&nbsp; </span>年<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;
</span>月<span lang=EN-US>&nbsp;&nbsp;&nbsp; </span>日</span></b></p>

<p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><b><span
style='font-size:16.0pt;font-family:宋体'>个人可支配收入申报表（三）</span></b></p>

<div align=center>

<p>

        <img src="../../../images/dataDownload/dataDownload1_2-3.jpg" style="width: 100%; height:auto"/></p>

</div>

<p class=MsoNormal align=center style='text-align:center;line-height:300%'><b><span
style='font-size:14.0pt;line-height:300%;font-family:仿宋_GB2312'>申报人（签名）：<span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>日期：<span lang=EN-US>&nbsp;&nbsp;&nbsp; </span>年<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;
</span>月<span lang=EN-US>&nbsp;&nbsp;&nbsp; </span>日</span></b></p>

</div>

<b><span lang=EN-US style='font-size:22.0pt;line-height:300%;font-family:宋体'><br
clear=all style='page-break-before:always'>
</span></b>

<div class=WordSection3 style='layout-grid:15.6pt 0pt'>

<p class=MsoNormal align=center style='text-align:center;line-height:300%'><b><span
style='font-size:22.0pt;line-height:300%;font-family:宋体'>家庭总财产申报</span></b></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:28.0pt;
line-height:24.0pt'><span style='font-size:14.0pt;font-family:仿宋_GB2312'>截止</span><u><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></u><span style='font-size:14.0pt;font-family:仿宋_GB2312'>年</span><u><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></u><span style='font-size:14.0pt;font-family:仿宋_GB2312'>月</span><u><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>日，本家庭拥有房产共计</span><u><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>套、建筑面积共计</span><u><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></u><span style='font-size:14.0pt;font-family:仿宋_GB2312'>平方米（<span
lang=EN-US>m</span></span><span style='font-size:14.0pt;font-family:宋体'>_</span><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>）</span><span lang=EN-US
style='font-size:14.0pt;font-family:仿宋_GB2312'>,</span><span style='font-size:
14.0pt;font-family:仿宋_GB2312'>机动车辆共计</span><u><span lang=EN-US
style='font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>辆。</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:28.0pt;
line-height:24.0pt'><span style='font-size:14.0pt;font-family:仿宋_GB2312'>本家庭拥有现金共计<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>元、银行存款共计<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>元，企业股份、股票、各类基金、债券等投资类资产及有价证券价值共计<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>元，其他有价值的资产共计<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></u>元，合计<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></u>元。</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:21.0pt;
line-height:24.0pt'><span lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:21.0pt;
line-height:24.0pt'><span lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal style='margin-right:49.0pt;text-indent:182.0pt;line-height:
24.0pt'><span style='font-size:14.0pt;font-family:仿宋_GB2312'>申请人代表<span
lang=EN-US>(</span>户主<span lang=EN-US>)</span>签名<span lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</u></span></span></p>

<p class=MsoNormal align=right style='text-align:right;line-height:24.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style='font-size:14.0pt;font-family:仿宋_GB2312'>日期<span lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;
</u></span>年<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span></u>月<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span></u>日<span lang=EN-US>&nbsp; </span></span></p>

<p class=MsoNormal align=right style='text-align:right;line-height:21.0pt'><span
lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=right style='margin-right:28.0pt;text-align:right;
line-height:21.0pt'><span lang=EN-US style='font-size:14.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span style='font-size:16.0pt;font-family:宋体'>个人货币类财产申报表（一）</span></b></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span lang=EN-US style='font-size:22.0pt;font-family:
仿宋_GB2312'>&nbsp;</span></b></p>

<table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0
 style='border-collapse:collapse;border:none'>
 <tr>
  <td width=493 colspan=3 style='width:492.7pt;border:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;text-indent:21.0pt;
  line-height:21.0pt'><span style='font-size:12.0pt;font-family:仿宋_GB2312'>姓名<span
  lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span
  style='font-size:12.0pt;font-family:仿宋_GB2312'>申报截止时间：<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span></u>年<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span></u>月<u><span
  lang=EN-US>&nbsp;&nbsp;&nbsp; </span></u>日</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 rowspan=3 style='width:156.85pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>银行存款</span></p>
  </td>
  <td width=157 style='width:156.9pt;border-top:none;border-left:none;
  border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>机构名称</span></p>
  </td>
  <td width=179 style='width:178.95pt;border-top:none;border-left:none;
  border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>总额<span lang=EN-US>(</span>总价值<span lang=EN-US>)</span></span></p>
  </td>
 </tr>
 <tr>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>银行理财产品</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>股票<span lang=EN-US>/</span>企业股份</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>基金</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>商业保险</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>债券</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>拥有现金</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>其他有价值资产</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=493 colspan=3 valign=top style='width:492.7pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>个人财产总计<span lang=EN-US>: <u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u>&nbsp;</span>元<span
  lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span></span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-top:0cm;margin-right:-13.1pt;margin-bottom:
0cm;margin-left:28.1pt;margin-bottom:.0001pt;text-indent:-28.1pt;line-height:
21.0pt'><b><span style='font-size:14.0pt;font-family:仿宋_GB2312'>申报人（签名）：<span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>日<span lang=EN-US>&nbsp;&nbsp;&nbsp; </span>期：<span lang=EN-US>&nbsp;&nbsp;&nbsp;
</span>年<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span>月<span lang=EN-US>&nbsp;&nbsp;&nbsp;
</span>日</span></b></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:21.0pt;
line-height:15.0pt'><span style='font-family:仿宋_GB2312'>注：<span lang=EN-US>1.</span>机构名称包括存款银行名称、股票指定交易或结算券商、所持股份企业名称、开放式基金销售机构和封闭式基金的指定交易或结算券商、商业保险机构名称以及债券名称等；总额包括存款总额、股票、基金的总市值及资金账户余额，商业保险现金价值、债券总价值等。</span></p>

<p class=MsoNormal align=left style='text-align:left;text-indent:21.0pt;
line-height:15.0pt'><span lang=EN-US style='font-family:仿宋_GB2312'>2.</span><span
style='font-family:仿宋_GB2312'>上述所有项目金额均以人民币为单位进行申报，拥有外币或以外币计算的财产的应当折算成人民币进行申报。</span></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span lang=EN-US style='font-size:16.0pt;font-family:
宋体'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span style='font-size:16.0pt;font-family:宋体'>个人货币类财产申报表（二）</span></b></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span lang=EN-US style='font-size:22.0pt;font-family:
仿宋_GB2312'>&nbsp;</span></b></p>

<table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0
 style='border-collapse:collapse;border:none'>
 <tr>
  <td width=493 colspan=3 style='width:492.7pt;border:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;text-indent:21.0pt;
  line-height:21.0pt'><span style='font-size:12.0pt;font-family:仿宋_GB2312'>姓名<span
  lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span
  style='font-size:12.0pt;font-family:仿宋_GB2312'>申报截止时间：<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span></u>年<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span></u>月<u><span
  lang=EN-US>&nbsp;&nbsp;&nbsp; </span></u>日</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 rowspan=3 style='width:156.85pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>银行存款</span></p>
  </td>
  <td width=157 style='width:156.9pt;border-top:none;border-left:none;
  border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>机构名称</span></p>
  </td>
  <td width=179 style='width:178.95pt;border-top:none;border-left:none;
  border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>总额<span lang=EN-US>(</span>总价值<span lang=EN-US>)</span></span></p>
  </td>
 </tr>
 <tr>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>银行理财产品</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>股票<span lang=EN-US>/</span>企业股份</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>基金</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>商业保险</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>债券</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>拥有现金</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>其他有价值资产</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=493 colspan=3 valign=top style='width:492.7pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>个人财产总计<span lang=EN-US>: <u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u>&nbsp;</span>元<span
  lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span></span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-right:-13.1pt;line-height:21.0pt'><b><span
style='font-size:14.0pt;font-family:仿宋_GB2312'>申报人（签名）：<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>日期：<span lang=EN-US>&nbsp;&nbsp;&nbsp; </span>年 <span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;</span>月<span
lang=EN-US>&nbsp;&nbsp;&nbsp; </span>日</span></b></p>

<p class=MsoNormal style='line-height:21.0pt'><b><span lang=EN-US
style='font-size:16.0pt;font-family:宋体'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span lang=EN-US style='font-size:16.0pt;font-family:
宋体'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span style='font-size:16.0pt;font-family:宋体'>个人货币类财产申报表（三）</span></b></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span lang=EN-US style='font-size:22.0pt;font-family:
仿宋_GB2312'>&nbsp;</span></b></p>

<table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0
 style='border-collapse:collapse;border:none'>
 <tr>
  <td width=493 colspan=3 style='width:492.7pt;border:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;text-indent:21.0pt;
  line-height:21.0pt'><span style='font-size:12.0pt;font-family:仿宋_GB2312'>姓名<span
  lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span
  style='font-size:12.0pt;font-family:仿宋_GB2312'>申报截止时间：<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span></u>年<u><span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span></u>月<u><span
  lang=EN-US>&nbsp;&nbsp;&nbsp; </span></u>日</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 rowspan=3 style='width:156.85pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>银行存款</span></p>
  </td>
  <td width=157 style='width:156.9pt;border-top:none;border-left:none;
  border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>机构名称</span></p>
  </td>
  <td width=179 style='width:178.95pt;border-top:none;border-left:none;
  border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>总额<span lang=EN-US>(</span>总价值<span lang=EN-US>)</span></span></p>
  </td>
 </tr>
 <tr>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>银行理财产品</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>股票<span lang=EN-US>/</span>企业股份</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>基金</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>商业保险</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>债券</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>拥有现金</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=157 style='width:156.85pt;border:solid black 1.0pt;border-top:none;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>其他有价值资产</span></p>
  </td>
  <td width=157 valign=top style='width:156.9pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=179 valign=top style='width:178.95pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr>
  <td width=493 colspan=3 valign=top style='width:492.7pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt'>
  <p class=MsoNormal align=left style='text-align:left;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>个人财产总计<span lang=EN-US>: <u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</u>&nbsp;</span>元<span
  lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  </span></span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='margin-top:0cm;margin-right:-13.1pt;margin-bottom:
0cm;margin-left:28.1pt;margin-bottom:.0001pt;text-indent:-28.1pt;line-height:
21.0pt'><b><span style='font-size:14.0pt;font-family:仿宋_GB2312'>申报人（签名）：<span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>日期：<span lang=EN-US>&nbsp; &nbsp;&nbsp;</span>年<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;
</span>月<span lang=EN-US>&nbsp;&nbsp;&nbsp; </span>日</span></b></p>

<p class=MsoNormal align=left style='margin-left:21.0pt;text-align:left;
line-height:15.0pt'><span lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;&nbsp;
&nbsp; </span></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span lang=EN-US style='font-size:22.0pt;font-family:
宋体'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center;text-indent:21.0pt;
line-height:21.0pt'><b><span style='font-size:22.0pt;font-family:宋体'>家庭实物类财产申报表</span></b></p>

<p class=MsoListParagraph align=center style='text-align:center;text-indent:
0cm;line-height:21.0pt'><span style='font-size:16.0pt;font-family:仿宋_GB2312'>（一）房产类财产情况申报表</span></p>

<table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0
 style='border-collapse:collapse;border:none'>
 <tr style='height:24.1pt'>
  <td width=47 rowspan=4 style='width:46.7pt;border:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>房产<span lang=EN-US>1</span></span></p>
  </td>
  <td width=301 colspan=2 valign=top style='width:300.7pt;border:solid black 1.0pt;
  border-left:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产地址<span
  lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </u></span>区（市）</span><span
  lang=EN-US>______</span><span style='font-family:宋体'>路</span><span
  lang=EN-US>______</span><span style='font-family:宋体'>街</span><span
  lang=EN-US>______</span><span style='font-family:宋体'>巷</span><span
  lang=EN-US> ____</span><span style='font-family:宋体'>号</span></p>
  </td>
  <td width=145 valign=top style='width:145.3pt;border:solid black 1.0pt;
  border-left:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>产权所有人<span
  lang=EN-US>:</span></span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=238 valign=top style='width:237.7pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产建筑面积<span
  lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </u>&nbsp;</span>平方米<span
  lang=EN-US>(m<sup>2</sup>)</span></span></p>
  </td>
  <td width=208 colspan=2 valign=top style='width:208.3pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产使用性质：</span><span
  style='font-family:仿宋_GB2312'>□自住；□非自住。</span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=446 colspan=3 valign=top style='width:446.0pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产用途<span
  lang=EN-US>:</span></span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=446 colspan=3 valign=top style='width:446.0pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产获取时间<span
  lang=EN-US>:</span></span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=47 rowspan=4 style='width:46.7pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>房产<span lang=EN-US>2</span></span></p>
  </td>
  <td width=301 colspan=2 valign=top style='width:300.7pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产地址<span
  lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </u></span>区（市）</span><span
  lang=EN-US>______</span><span style='font-family:宋体'>路</span><span
  lang=EN-US>______</span><span style='font-family:宋体'>街</span><span
  lang=EN-US>______</span><span style='font-family:宋体'>巷</span><span
  lang=EN-US> ____</span><span style='font-family:宋体'>号</span></p>
  </td>
  <td width=145 valign=top style='width:145.3pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>产权所有人<span
  lang=EN-US>:</span></span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=238 valign=top style='width:237.7pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产建筑面积<span
  lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </u>&nbsp;</span>平方米<span
  lang=EN-US>(m<sup>2</sup>)</span></span></p>
  </td>
  <td width=208 colspan=2 valign=top style='width:208.3pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产使用性质：</span><span
  style='font-family:仿宋_GB2312'>□自住；□非自住。</span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=446 colspan=3 valign=top style='width:446.0pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产用途<span
  lang=EN-US>:</span></span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=446 colspan=3 valign=top style='width:446.0pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产获取时间<span
  lang=EN-US>:</span></span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=47 rowspan=4 style='width:46.7pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>房产<span lang=EN-US>3</span></span></p>
  </td>
  <td width=301 colspan=2 valign=top style='width:300.7pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产地址<span
  lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </u></span>区（市）</span><span
  lang=EN-US>______</span><span style='font-family:宋体'>路</span><span
  lang=EN-US>______</span><span style='font-family:宋体'>街</span><span
  lang=EN-US>______</span><span style='font-family:宋体'>巷</span><span
  lang=EN-US> ____</span><span style='font-family:宋体'>号</span></p>
  </td>
  <td width=145 valign=top style='width:145.3pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>产权所有人<span
  lang=EN-US>:</span></span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=238 valign=top style='width:237.7pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产建筑面积<span
  lang=EN-US>:<u>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </u>&nbsp;</span>平方米<span
  lang=EN-US>(m<sup>2</sup>)</span></span></p>
  </td>
  <td width=208 colspan=2 valign=top style='width:208.3pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产使用性质：</span><span
  style='font-family:仿宋_GB2312'>□自住；□非自住。</span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=446 colspan=3 valign=top style='width:446.0pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产用途<span
  lang=EN-US>:</span></span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=446 colspan=3 valign=top style='width:446.0pt;border-top:none;
  border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span style='font-family:仿宋_GB2312'>房产获取时间<span
  lang=EN-US>:</span></span></p>
  </td>
 </tr>
 <tr height=0>
  <td width=47 style='border:none'></td>
  <td width=238 style='border:none'></td>
  <td width=63 style='border:none'></td>
  <td width=145 style='border:none'></td>
 </tr>
</table>

<p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
style='font-size:16.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoListParagraph align=center style='text-align:center;text-indent:
0cm;line-height:21.0pt'><span style='font-size:16.0pt;font-family:仿宋_GB2312'>（二）机动车辆申报</span></p>

<table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0
 style='border-collapse:collapse;border:none'>
 <tr style='height:24.1pt'>
  <td width=82 valign=top style='width:82.45pt;border:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>车辆品牌型号</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border:solid black 1.0pt;
  border-left:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>车牌号码</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border:solid black 1.0pt;
  border-left:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>车辆类型</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border:solid black 1.0pt;
  border-left:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>所有权人</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border:solid black 1.0pt;
  border-left:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>车辆获取时间</span></p>
  </td>
  <td width=103 valign=top style='width:103.45pt;border:solid black 1.0pt;
  border-left:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>使用性质</span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=82 valign=top style='width:82.45pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=103 valign=top style='width:103.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=82 valign=top style='width:82.45pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=103 valign=top style='width:103.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=82 valign=top style='width:82.45pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=82 valign=top style='width:82.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=103 valign=top style='width:103.45pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
style='font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoListParagraph align=center style='text-align:center;text-indent:
0cm;line-height:21.0pt'><span style='font-size:16.0pt;font-family:仿宋_GB2312'>（三）古董、艺术品类财产申报</span></p>

<table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0
 style='border-collapse:collapse;border:none'>
 <tr style='height:24.1pt'>
  <td width=164 valign=top style='width:164.2pt;border:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>财产名称</span></p>
  </td>
  <td width=164 valign=top style='width:164.25pt;border:solid black 1.0pt;
  border-left:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>所有权人</span></p>
  </td>
  <td width=187 valign=top style='width:187.25pt;border:solid black 1.0pt;
  border-left:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal align=center style='text-align:center;line-height:21.0pt'><span
  style='font-family:仿宋_GB2312'>评估价值</span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=164 valign=top style='width:164.2pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=164 valign=top style='width:164.25pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=187 valign=top style='width:187.25pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=164 valign=top style='width:164.2pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=164 valign=top style='width:164.25pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=187 valign=top style='width:187.25pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
 <tr style='height:24.1pt'>
  <td width=164 valign=top style='width:164.2pt;border:solid black 1.0pt;
  border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=164 valign=top style='width:164.25pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
  <td width=187 valign=top style='width:187.25pt;border-top:none;border-left:
  none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;
  padding:0cm 5.4pt 0cm 5.4pt;height:24.1pt'>
  <p class=MsoNormal style='line-height:21.0pt'><span lang=EN-US
  style='font-family:仿宋_GB2312'>&nbsp;</span></p>
  </td>
 </tr>
</table>

<p class=MsoNormal style='text-indent:21.0pt'><span style='font-family:仿宋_GB2312'>注：<span
lang=EN-US>1.</span>房屋类财产情况，请申报人按《房地产权证》等权证上记载的事项进行填写。</span></p>

<p class=MsoNormal style='margin-left:42.0pt'><span lang=EN-US
style='font-family:仿宋_GB2312'>2.</span><span style='font-family:仿宋_GB2312'>家庭实物类财产为家庭总财产的一部分，由户主、产权所有人进行填写。</span></p>

<p class=MsoNormal><span lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal style='margin-left:42.0pt;text-indent:-42.0pt'><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal style='margin-left:42.0pt;text-indent:-42.0pt'><span
lang=EN-US style='font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal align=center style='text-align:center;line-height:28.0pt'><span
style='font-size:22.0pt;font-family:方正小标宋_GBK'>资料审核意见</span></p>

<p class=MsoNormal align=center style='text-align:center;line-height:28.0pt'><span
lang=EN-US style='font-size:16.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal style='text-indent:32.25pt;line-height:28.0pt'><span
style='font-size:16.0pt;font-family:仿宋_GB2312'>申请人家庭已按规定填写《广州市居民家庭经济状况核对申报表》，并提供申请人家庭成员</span><b><span
style='font-size:16.0pt;font-family:黑体'>二代居民身份证</span></b><span
style='font-size:16.0pt;font-family:仿宋_GB2312'>、</span><b><span
style='font-size:16.0pt;font-family:黑体'>居民户口簿</span></b><span style='font-size:
16.0pt;font-family:仿宋_GB2312'>原件、复印件、</span><b><span style='font-size:16.0pt;
font-family:黑体'>承诺和授权书</span></b><span style='font-size:16.0pt;font-family:
仿宋_GB2312'>、</span><b><span style='font-size:16.0pt;font-family:黑体'>□收入证明、□学生在校证明及<u><span
lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></u></span></b><span style='font-size:16.0pt;font-family:仿宋_GB2312'>，并由家庭成员亲自签名确认。经审核，上述复印件与原件相符；申请人家庭提供的资料形式符合核对要求，拟同意进行核对。</span></p>

<p class=MsoNormal style='text-indent:32.25pt;line-height:28.0pt'><span
style='font-size:16.0pt;font-family:仿宋_GB2312'>核对时间段为<span lang=EN-US>20&nbsp;&nbsp;
</span>年<span lang=EN-US>&nbsp; </span>月至<span lang=EN-US>20&nbsp;&nbsp; </span>年<span
lang=EN-US>&nbsp;&nbsp; </span>月。</span></p>

<p class=MsoNormal style='text-indent:32.25pt;line-height:28.0pt'><span
lang=EN-US style='font-size:16.0pt;font-family:仿宋_GB2312'>&nbsp;</span></p>

<p class=MsoNormal style='text-indent:32.25pt;line-height:28.0pt'><span
lang=EN-US style='font-size:16.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style='font-size:16.0pt;font-family:仿宋_GB2312'>经办人：</span></p>

<p class=MsoNormal style='text-indent:32.25pt;line-height:28.0pt'><span
lang=EN-US style='font-size:16.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style='font-size:16.0pt;font-family:仿宋_GB2312'>负责人：</span></p>

<p class=MsoNormal style='text-indent:32.25pt;line-height:28.0pt'><span
lang=EN-US style='font-size:16.0pt;font-family:仿宋_GB2312'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style='font-size:16.0pt;font-family:仿宋_GB2312'>年<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;
</span>月<span lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp; </span>日</span></p>

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